NCLEX-PN
NCLEX Questions on Safety and Infection Control Questions
Extract:
Question 1 of 5
A client with amyotrophic lateral sclerosis has a percutaneous endoscopic gastrostomy (PEG) tube for the administration of feedings and medications. Which nursing action is appropriate?
Correct Answer: D
Rationale: Flush adequately with water before and after using the tube. Flushing the tube before and after use not only provides for good tube maintenance, it is flushing that moves medications through. Not all medications should be crushed, for example sustained release preparations should not be cut or pulverized. Stagnant liquids are reduced by flushing after tube use. Cleansing is important, but soap and water are sufficient without the added irritation of hydrogen peroxide.
Question 2 of 5
The nurse provides a collection container to the client for collecting a sputum specimen for culture and sensitivity. Which additional interventions should the nurse implement? Select all that apply.
Correct Answer: C,D,E
Rationale: C: A clean bag prevents external contamination. D: A biohazard symbol indicates infectious material. E: Prompt delivery ensures accurate results. A: Single morning collection is preferred. B: Eyewear is unnecessary.
Question 3 of 5
A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client may need suctioning?
Correct Answer: D
Rationale: Restlessness. Restlessness, increased heart and respiratory rates, and noisy expiration suggest hypoxia and are indications for suctioning.
Question 4 of 5
The nurse learns that the hospitalized client has a history of chronic hepatitis C. Which precaution should the nurse plan to implement?
Correct Answer: D
Rationale: D: Standard precautions are sufficient for hepatitis C, which is transmitted via blood and body fluids. A, B, C are unnecessary as hepatitis C is not airborne or droplet-transmitted.
Question 5 of 5
After a client has an enteral feeding tube inserted, the most accurate method for verification of placement is
Correct Answer: A
Rationale: abdominal x-ray. Placement should be verified by radiograph to determine that the tube is in the stomach or intestine rather than in the airways.